Individual provider Active NPI

William Sadowsky, MD

  • Psychiatry Physician
  • Bartow, FL
National Provider Identifier
1013982057
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 91085 Issued in FL
Practice address
1255 Golfview Ave
Bartow, FL 33830-6736
Phone
(863) 519-0575
Fax
(863) 582-9251
NPI assigned
Feb 22, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME 91085 FL Primary

Addresses

Primary practice location

1255 Golfview Ave
Bartow, FL 33830-6736

Mailing address

PO Box 1559
Bartow, FL 33831-1559
Phone (863) 519-0575

Other identifiers 1

IdentifierTypeStateIssuer
272688200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000542 FL Practitioner - Psychiatry 9335104546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York Medical College, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peace River Center for Personal Development IncGroup PAC ID 7719877927, 29 clinicians

Practice addresses (Care Compare)

1255 Golfview Ave
Bartow, FL 33830-6736
Phone (863) 499-2520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 91085FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peace River Center for Personal Development Inc CurrentSince May 27, 2014 Accepting new patients
Peace River Center for Personal Development Inc Psychiatry PastSince Feb 27, 2022 Accepting new patients
Healthcare of Berrien County, Inc. Past Accepting new patients
Valdosta Psychiatric Associates, LLC Psychiatry Past Accepting new patients
Huntingdon Healthcare Inc Psychiatry PastSince Jun 1, 2006 Accepting new patients
Peace River Center for Personal Development Inc PastSince Apr 17, 2022 Accepting new patients

Locations

1239 E Main St
Bartow, FL 33830
Phone (863) 533-8111

1255 Golfview Ave
Bartow, FL 33830
Phone 8635190575 ext. 6494

751 Scenic Hwy
Haines City, FL 33844
Phone (863) 421-3369

1825 Gilmore Ave
Lakeland, FL 33805
Phone (863) 248-3300

1831 Gilmore Ave
Lakeland, FL 33805
Phone 8635190575 ext. 6494

2014 Lakeland Hills Blvd
Lakeland, FL 33805
Phone 8635190575 ext. 6494

230 S Lake Parker Ave
Lakeland, FL 33801
Phone 86351905756494

3241 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 413-2620

715 N Lake Ave
Lakeland, FL 33801
Phone (863) 413-2566

728 E Bella Vista St
Lakeland, FL 33805
Phone (863) 413-2688

213 E Orange St
Wauchula, FL 33873
Phone (863) 773-3228

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013982057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338311559",
            "telephone_number": "863-519-0575",
            "fax_number": "863-582-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 GOLFVIEW AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306736",
            "telephone_number": "863-519-0575",
            "fax_number": "863-582-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADOWSKY",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 91085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272688200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

Verify at the official NPI Registry.